Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Hofvind, Solveig; Iqbal, Nadia; Thy, Jonas E; Mangerud, Gunhild; Bhargava, Sameer; Zackrisson, Sophia; Berstad, Paula

doi:10.1136/bmj-2023-075465

Cited by 4 publications

(1 citation statement)

References 34 publications

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“…Screening organizations in many countries, including Norway, are trying to improve access for immigrants by translating written and video materials into multiple languages, as well as conducting quantitative and qualitative research on participation rates among immigrants and other at-risk groups [ 48 ]. However, BreastScreen Norway have performed an RCT in which immigrants had the same participation whether they received invitations for screening in Norwegian only or Norwegian and their mother tongue [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Access to colorectal cancer screening for Pakistani immigrants in Norway – a qualitative study

Iqbal,

Berstad,

Solbjør

et al. 2024

BMC Health Serv Res

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Background The Norwegian colorectal cancer (CRC) screening program started in May 2022. Inequalities in CRC screening participation are a challenge, and we expect that certain groups, such as immigrants, are at risk of non-participation. Prior to the start of the national screening program, a pilot study showed lower participation rates in CRC screening among immigrants from Pakistan. These immigrants are a populous group with a long history in Norway and yet have a relatively low participation rate also in other cancer screening programs. The purpose of this study was to identify and explore perspectives and factors influencing CRC screening participation among immigrants from Pakistan in Norway. Materials and methods In this study we used a qualitative study design and conducted 12 individual interviews with Pakistani immigrants aged between 50 and 65 years. The participants varied in terms of gender, age, education, work, residence time in Norway and familiarity with the Norwegian language and culture. We performed thematic analysis with health literacy as a theoretical framework to understand Pakistani immigrants’ perspectives on CRC screening. Results We identified four main themes: Health-related knowledge, the health care system, screening, and social factors. Within these themes we identified several factors that affect Pakistani immigrants’ accessibility to CRC screening. These factors included knowledge of the causes and development of cancer, sources of health-related information, the general practitioner’s role, understanding of screening and the intention behind it, language skills and religious beliefs. Conclusion There are many factors influencing Pakistani immigrants’ decision of participation in CRC screening. The roles of the general practitioner and adult children are particularly important. Key elements to improve accessibility to CRC screening and enable informed participation for Pakistani immigrants are measures that improve personal and organizational health literacy.

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Section: Discussionmentioning

confidence: 99%

Access to colorectal cancer screening for Pakistani immigrants in Norway – a qualitative study

Iqbal,

Berstad,

Solbjør

et al. 2024

BMC Health Serv Res

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Sociodemographic characteristics associated with cervical cancer screening participation by send‐to‐all and opt‐in HPV self‐sampling: Who benefits? Results from a randomized controlled trial among long‐term non‐attending women in Norway

Hansen,

Nygård,

Castle

et al. 2024

Intl Journal of Cancer

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With the objective to investigate associations between sociodemographic characteristics and participation in interventions designed to increase participation in cervical cancer screening among under‐screened women, we randomized a random sample of 6000 women in Norway aged 35–69 years who had not attended cervical screening for ≥10 years to receive either (i) a reminder to attend regular screening (control), (ii) an offer to order a self‐sampling kit (opt‐in), or (iii) a self‐sampling kit unsolicited (send‐to‐all). We analyzed how sociodemographic characteristics were associated with screening participation within and between screening arms. In the send‐to‐all arm, increased screening participation ranged from 17.1% (95% confidence interval [95% CI] = 10.3% to 23.8%) to 30.0% (95% CI = 21.5% to 38.6%) between sociodemographic groups. In the opt‐in arm, we observed smaller, and at times, non‐significant increases within the range 0.7% (95% CI = −5.8% to 7.3%) to 19.1% (95% CI = 11.6% to 26.7%). In send‐to‐all versus control comparisons, there was greater increase in participation for women in the workforce versus not (6.1%, 95% CI = 1.6% to 10.6%), with higher versus lower income (7.6%, 95% CI = 2.2% to 13.1%), and with university versus primary education (8.5%, 95% CI = 2.4% to 14.6%). In opt‐in versus control comparisons, there was greater increase in participation for women in the workforce versus not (4.6%, 95% CI = 0.7% to 8.5%), with higher versus lower income (6.3%, 95% CI = 1.5% to 11.1%), but lower increase for Eastern European versus Norwegian background (−12.7%, 95% CI = −19.7% to −5.7%). Self‐sampling increased cervical screening participation across all sociodemographic levels, but inequalities in participation should be considered when introducing self‐sampling, especially with the goal to reach long‐term non‐attending women.

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Understanding inequalities in breast cancer screening uptake

Davies,

Wang

2023

BMJ

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Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Cited by 4 publications

References 34 publications

Access to colorectal cancer screening for Pakistani immigrants in Norway – a qualitative study

Access to colorectal cancer screening for Pakistani immigrants in Norway – a qualitative study

Sociodemographic characteristics associated with cervical cancer screening participation by send‐to‐all and opt‐in HPV self‐sampling: Who benefits? Results from a randomized controlled trial among long‐term non‐attending women in Norway

Understanding inequalities in breast cancer screening uptake

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